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The ambiguous pulmonary venoatrial junction: a new perspective


, : The ambiguous pulmonary venoatrial junction: a new perspective. International Journal of Cardiovascular Imaging 24(4): 433-443

The pulmonary venoatrial junction (PVAJ) has recently received attention due to the widespread use of catheter ablation for atrial fibrillation. However, the literature lacks a consensus in the definition of the PVAJ. We aim to review the inconsistent definitions for the PVAJ and related implications in imaging and catheter ablation for atrial fibrillation. The PVAJ as described by embryology, gross anatomy, histology and imaging is ambiguous, leading to disparities in its definition. Because of differing definitions of the PVAJ, there is a broad range in the prevalence of anatomic variations, including (1) percentage of common pulmonary veins (10-79% on the left), (2) supernumerary pulmonary veins (10-42%) and (3) ostial diameter and shape. We postulate several reasons for this broad range in the described prevalence of anatomic variation of the PV as follows: (1) different definitions of the PVAJ, (2) different vantage points, (3) different imaging modalities, and (4) different prevalence of anatomic variants among different study populations. The ambiguous PVAJ with its gradual transition from the left atrium to the pulmonary veins defies precise definition even though it plays an important role in the management of atrial fibrillation. Physicians should be aware of variability in the language used to describe the PVAJ and resultant discrepancy in reported anatomical information.

US$19.90

PMID: 17909980

DOI: 10.1007/s10554-007-9270-4


Other references

Anonymous, 2016: Erratum: Silicone Breast Implant and Automatic Implantable Cardioverter Defibrillator: Can They Coexist? A Case Report: Erratum. NlmCategory="UNASSIGNED">[This corrects the article DOI: 10.1097/GOX.0000000000000855.].

Kravtsov, I.A.; Fedotkin, I.V., 2001: Productivity of the parent forms of maize hybrids and the sowing density. In the conditions of the Stavropol region (unreliable moisture supply), the best results are achieved by growing the hybrids NT IS and Tais M at a density of 80 000 plants/ha, and Dzhutsa M at 60 000 plants/ha. Yields were 2870, 2930 and 3370 kg/h...

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Gurin V.N., 1973: Effect of neuro mediators on the level of soluble thiols in brain tissue. Byulleten' Eksperimental'noi Biologii i Meditsiny 75(4): 42-44

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Warner A.E.; Decamp M.M.; Molina R.M.; Brain J.D., 1988: Portal of entry systemic vs splanchnic determines pulmonary dose of circulating particles in sheep. American Review of Respiratory Disease 137(4 PART 2): 147

Keevil Norman Bell; Wilson John Tuzo, 1949: Radioactivity of rocks in eastern Ontario. 43: 211 1949

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